Kingston Dialysis LLC

NPI #1740657402 in Longmont, Colorado

Provider Information

NPI Number
1740657402
Entity Type
Organization
Organization Name
Kingston Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 28, 2015
Last Updated
Feb 4, 2025

Practice Location

Address
1715 IRON HORSE DR STE 170
ZIP Code
80501-9617
Phone
(303) 485-4084

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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